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Golden Palms Rehabilitation and Retirement

All states › Texas › Harlingen › Golden Palms Rehabilitation and Retirement

2101 Treasure Hills Boulevard Harlingen, TX 78550 · Cameron County

(956) 430-3100

All 7 nursing homes in Harlingen, TX (7 take Medicaid)

Accepts Medicare Accepts Medicaid 60 certified beds For profit

CMS certification number 455672 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Golden Palms Rehabilitation and Retirement a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Golden Palms Rehabilitation and Retirement as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 23 citations in the last three years. CMS imposed 3 penalties, including $15,997 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.38 hours per resident per day at Golden Palms Rehabilitation and Retirement, about the same as the Texas median of 3.30 (US median: 3.72). About 0.55 of those hours are from registered nurses. On weekends it falls to 2.91 hours, 14% below its all-week average. 44.2% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.38 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.55 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.91 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 44.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 28.6% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds60
Residents per day 49 About 82% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1986
Part of a chainThe Ensign Group
Legal business nameSANTIAGO HEALTHCARE LLC

Paying for care at Golden Palms Rehabilitation and Retirement: Medicare and Medicaid

Golden Palms Rehabilitation and Retirement is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 15, 2026 and found 2 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 23 citations at Golden Palms Rehabilitation and Retirement across 14 inspection dates, 17 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 25, 2025 (complaint inspection). The most common areas cited were quality of life and care (7) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, January 25, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

May 13, 2026 · 2 citations · includes complaint inspection

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (May 14, 2026)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (May 14, 2026)

April 15, 2026 · 2 citations

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Apr 16, 2026)

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Apr 16, 2026)

April 11, 2026 · 1 citation · includes complaint inspection

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Apr 12, 2026)

February 20, 2026 · 1 citation · includes complaint inspection

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Feb 21, 2026)

December 10, 2025 · 1 citation · includes complaint inspection

EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Complaint inspection · Deficient, Provider has date of correction (Dec 11, 2025)

May 15, 2025 · 1 citation · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (May 16, 2025)

May 8, 2025 · 3 citations · includes complaint inspection

EProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (May 9, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (May 9, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (May 9, 2025)

April 15, 2025 · 1 citation · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2025)

January 25, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Oct 3, 2024)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Jan 27, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jan 27, 2025)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jan 27, 2025)

November 21, 2024 · 1 citation · includes complaint inspection

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Nov 22, 2024)

June 25, 2024 · 2 citations, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 26, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 26, 2024)

February 23, 2024 · 1 citation · includes complaint inspection

DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0626 · Complaint inspection · Deficient, Provider has date of correction (Feb 24, 2024)

November 9, 2023 · 2 citations

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Nov 10, 2023)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Nov 10, 2023)

October 19, 2023 · 1 citation · includes complaint inspection

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Complaint inspection · Deficient, Provider has date of correction (Nov 30, 2023)

Questions to ask on a tour of Golden Palms Rehabilitation and Retirement

  1. Inspectors cited the home at the immediate-jeopardy level on January 25, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 25, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

3 penalties in the last three years, including $15,997 in fines.

DateTypeAmount or length
Jan 25, 2025 Fine $9,113
Jun 25, 2024 Fine $2,867
Feb 23, 2024 Fine $4,017

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 2/5 5/5
August 2026 4/5 4/5 3/5 4/5
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Location

Hospitals near Golden Palms Rehabilitation and Retirement

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.3 mi
    Valley Baptist Medical Center Harlingen
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 25m for patients treated and sent home
  • 0.9 mi
    Palms Behavioral Health Harlingen
    No ER listed in Medicare data
  • 1.3 mi
    Harlingen Medical Center Harlingen
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 36m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Treasure Hills Healthcare and Rehabilitation Center Harlingen · 0.3 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 120 beds · Medicaid
Sun Valley Rehabilitation and Healthcare Center Harlingen · 0.7 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 124 beds · Medicaid
Windsor Nursing and Rehabilitation Center of Harli Harlingen · 1.0 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 154 beds · Medicaid
Harlingen Nursing and Rehabilitation Center Harlingen · 1.0 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 120 beds · Medicaid
Windsor Atrium Harlingen · 1.9 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 120 beds · Medicaid

More nursing homes near Golden Palms Rehabilitation and Retirement ›   All nursing homes in Harlingen ›

Compare Golden Palms Rehabilitation and Retirement with the 3 closest homes side by side ›

Other The Ensign Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/harlingen/golden-palms-rehabilitation-and-retirement/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.